Attachment 07 Past Perform Questionnaire.docx

Attachment 7 70LCHS20RPFB00001

SOURCE SELECTION INFORMATION – See FAR 3.104 FOR OFFICIAL USE ONLY

PAST PERFORMANCE QUESTIONNAIRE

INDEFINITE DELIVERY-INDEFINITE QUANTITY CONSTRUCTION

FEDERAL LAW ENFORCEMENT TRAINING CENTER

CHARLESTON, SC

70LCHS20RPFB00001

(This questionnaire, when filled in, shall be treated as Source Selection Information in accordance with FAR 3.104-3 and shall not be disclosed to anyone outside the Government Source Selection Team)

If contractor is behind schedule, list primary causes: ________________________________________ Program Description: (Description of Project Scope of Work)

PLEASE FILL IN THE FOLLOWING RESPONDENT INFORMATION:

NAME: __________________________________ Role relative to contract:

ADDRESS: __________________________________ _________________________________

__________________________________ (ACO, Inspector, Contract Administrator, Project Engineer, Buyer, Quality Assurance Evaluator, Other-explain) FAX No: .__________________________________

PLEASE CHECK THE BOX RELATING TO THE APPROPRIATE RATING FOR EACH OF THE FOLLOWING AREAS:

NA=Not Applicable, U=Unsatisfactory, M=Marginal, S=Satisfactory, A=Above Average, O=Outstanding

For any rating of “Unsatisfactory” or “Marginal”, please provide (1) Rationale for rating, (2) Indication of contractor problem notification, and (3) Contractor’s corrective action, as applicable, in “Additional Remarks”.

1. Quality/acceptability of services delivered

2. Completion of work according to schedule

3. Responsiveness to unscheduled/emergency requirements

4. Performance of all technical requirements

5. Responsiveness to contract changes/modifications

6. Timeliness of proposal submissions/other reports

7. Sufficiency of material and personnel to accomplish tasks

8. Performance of contract requirements within agreed prices

9. Competent/responsible/effective on-site managers

10. Overall Program Management

11. Attitude (customer relations)

12. Effectiveness in managing subcontractors

13. Adequately prices contract changes/modifications

14. Ability to simultaneously manage multiple projects with multiple disciplines

16. To what extent was the contractor able to maintain an environment of safety, adhere to its safety plan, and respond to safety issues?

17. Contractor complied with all security requirements for the project and personnel security requirements

18. Contractor’s overall performance

19. Have there been any contract modifications or disputes/claims relative to the contract?

If “yes”, please explain in “Additional Remarks”. Yes: ____ No: ____

20. Has action been initiated to cancel or terminate contract for default?

If yes, please explain in “Additional Remarks”. Yes: ____ No:____

21. Given a choice, would you use this contractor again? Yes: ____ No: ____

Do you know anyone else who can tell us about this contractor’s performance? (Please list Name, Phone No. and Fax No.)

Name: ________________________________Phone: _______________Fax: ________________

Additional Remarks: (Use separate sheets as necessary)

Respondent Signature Date

Please forward questionnaire to the Contracting Officer, Mr. Useba Ford at useba.f.ford@fletc.dhs.gov SOURCE SELECTION INFORMATION – See FAR 2.101 and FAR 3.104

PROCUREMENT SENSITIVE – FOR OFFICIAL USE ONLY